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January2005 Vol.42 Issue:        1        Table of Contents
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Predictive Value of Clinical Presentation, Laboratory Parameters and CT Brain Findings of Acute Spontaneous Intracerebral Hemorrhage

Hamdy N.A. El-Tallawy1, Ola A. Shawky1, Sohair M.A. Farghaly2, Abdel Salam Abdel Aziz3, Mahmoud Ashry4, Mohamed Esmaeel1
Departments of Neurology and Psychiatry1, Clinical Pathology2, Radiology3, Internal Medicine4, Assiut University


Intracerebral hemorrhage (ICH) is a medical emergency responsible for 10% of all strokes. Spontaneous intracerebral hemorrhage is a serious disease despite of attempts at improving outcome by medical and surgical treatment. This hospital based study was carried out in Assiut University Hospital during one calendar year (2000), to determine the immediate assessment of ICH and its reflection on the outcome. The study included 139 patients presented by spontaneous intracerebral hemorrhage with time window 48 hours. Patients were evaluated clinically (generally and neurologically). Laboratory investigations as blood sugar and urea, serum creatinine, complete blood picture, prothrombin time and concentration, partial thromboplastin time, platelet aggregation, lipogram, fibrinogen and leptin levels were carried out for patients and control subjects. Radiological assessments of the patients was done by CT brain. Results of this study showed no difference in laboratory investigations between patients and control subjects. Multivariate. stepwise logistic regression analysis showed that disturbed conscious level, intraventricular spread of blood, midline shift and volume of haematoma are independent factors for mortality of patients with intracerebral hemorrhage.

(Egypt J. Neurol. Psychiat. Neurosurg., 2005, 42(1): 177-185).


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